Nicolae Testemitanu State University of Medicine and Pharmacy
Department of Topographic Anatomy and Operative Surgery
192, Stefan cel Mare Street, Chisinau, Republic of Moldova
Tel.: 37322-205209. Tel/fax: 37322-295384
To: Classes of 2014
SYLLABUS
Course in Operative Surgery and Topographic Anatomy
for Students of Dentistry Faculty, Semester 6
N
Theme
Hours
Lecture Practice
I
II
III
Introduction
1.
The topographic anatomy and operative surgery as the subject of medical instruction,
its purpose, place and role in medical education, as well as anatomical and surgical
methods.
General surgical instruments: classification, destination and utilization techniques.
Basic surgical procedures: incisions, hemostasis, surgical sutures and knots, applying of
ligatures and surgical modalities of skin wounds.
2
2
Head. Cerebral part
2.
Fronto-parieto-occipital and temporal regions. Boundaries and layers. Peculiarities
of the vascularization of the scalp. Cranial meninges and cerebrospinal fluid. Progressive
epidural haematoma.
1
2
3.
Mastoid region. Base of scull. Arterial supply of the brain. Meninges, epidural,
subdural and subarachnoid spaces. Venous sinuses of dura mater encephaly.
1
2
4.
Primary (essential) surgical treatment of cranio-cerebral wounds. Hemostasis in
trauma of the scalp, calvaria (cranial dome), pahymeningial sinuses and the arteries of
brain.
Methods for trepanation of the skull.
Methods of cranioplasty.
Anthromastoidotomy.
1
2
Head. Facial part
5.
The topography of the facial portion of the head. Landmarks. Anterior and lateral
compartments and regions. Vascularization and innervation. Venous and lymphatic
systems.
Orbital and nasal regions. Boundaries, contents, vascularization, innervation and
lymph drainage. Paranasal airway sinuses.
1
2
6.
The oral region. Oral vestibule and cavity. Walls of oral cavity and floor. Tongue.
Alveolar arches and teeth. Vascularization, innervation and lymph drainage.
1
2
7.
Buccal (cheek) and parotido-masseteric regions. Boundaries, layers, contents.
Temporomandibular joint. Maxillary sinuses of Highmory.
1
2
8.
The deep (intermaxillar) region of the face. Bony limits. Contents: muscles,
intermuscular spaces (temporo-pterygoid and interpterygoid), pterygoid venous plexus,
maxillary artery and its branches, maxillary and mandibularis nerves.
1
2
I
II
III
9.
10.
Peculiarities of the primary surgical treatment of wounds in the facial region. The
blockage of trigeminal nerve branches.
Anesthesia: infiltrative and conductive,
mandibular, torusal, infraorbital, incisive and palatine analgesia.
Surgical incision in cases of trauma and purulent inflammation concerning their
particular cosmetic importance and functional outcomes. Maxillary sinus puncture and
sinusotomy (Highmorotomy).
Mid-term competency test of lectures 1-9.
1
2
-
2
Neck
11.
The topographical anatomy of the neck. Division into regions (triangles). Fascial
layers. Interfascial cellular spaces and their contents.
The topography of thyroid and parathyroid glands, larynx, pharynx, neck portion of
the trachea and esophagus. The topography of the main neck neurovascular bundles.
1
2
12.
The topography of submental and submandidular regions. Boundaries, layers and
contents. The topography of carotid, omotracheal and sternocleidomastoid regions.
Boundaries, layers and contents.
1
2
13.
Region of lateral triangle of the neck. The topography of omoclavicular
(supraclavicular) and omotrapezoid regions. Posterior (nuchal) region of the neck.
Surgical operations on the neck. Incisions in purulent processes. Surgical access to
organs and neurovascular bundles. Tracheotomy, tracheostomy, conicotomy and their
peculiarities in children.
1
2
14.
Surgery of vessels and nerves
2
2
1
2
-
2
Instruments for surgery on vessels and nerves. Principles of surgical access. Lines
of projection. Denudation technique. Principles of endovascular surgery.
Venesection, venepuncture and catheterization of veins.
Puncture and
catheterization of the subclavicular vein. Detection and catheterization of the thoracic
lymphatic duct in the neck.
Ligature of the carotid, facial, maxillary and lingual arteries. Collateral blood
supply. Carrel’s circular vascular suture. Prosthesis of arteries.
Neurolysis, neuroraphy, neuroplasty and replacement of nerves. Vagosympathetic
blockage on the neck.
Surgery of bones and joints
15.
Instruments and equipment. Principles of the surgery in bone fractures. Principles
of osteotomy, osteoectomy, osteosynthesis, osteoplasty and implants.
Principles of arthrocentesis, arthrotomy, arthrectomy, arthroplasty and
endoprosthesis. Approach to temporomandibular joint.
16.
Mid-term competency test of lectures 11-15.
17.
Final test: 1. Practical skills
2. Interrogation.
Total hours – 51
1
2
16
35
2